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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - Skip to main content
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - Community Health Systems’ ongoing journey to zero preventable harm .
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.docx
January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - English
SOPS® Value and Efficiency Supplemental Item Set for the SOPS Hospital Survey
Language: English
Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0 to help hospitals assess the e…
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teamstepps.ahrq.gov/research/publications/search.html?page=6
January 01, 2017 - Skip to main content
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial
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teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - Skip to main content
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teamstepps.ahrq.gov/news/blog/ahrqviews/protecting-most-vulnerable.html
March 01, 2021 - Skip to main content
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teamstepps.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
March 01, 2023 - Skip to main content
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teamstepps.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Nurse managers lead their unit staff in preventing patient harm in their unit, empowering nurses to be … the first line of defense against patient harm
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
http://www.ihi.org/resources/Pages/ … To focus on the objective of preventing future harm, this updated
process focuses on actions to take … provides practical tools and suggestions that can be incorporated
into clinical operations to eliminate harm … Quality Improvement Fundamentals Toolkit
RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/848.html
January 01, 2023 - , 21 percent of caregivers handled chemotherapy with bare hands during in-home observation, risking harm
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - screenings may be regarded as low value if they are not expected to increase life expectancy or if potential harm
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules.html#module5
and staff harm … support for improving performance from clinical decision
makers is key to helping your facility reduce harm … Toolkit Modules provides a team-based
approach to identifying factors that contributed to resident harm … leading causes for antibiotic overuse in long-term
care.12,13 Moreover, antibiotics can lead to resident harm
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teamstepps.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - 23
Situation Monitoring
Cross-Monitoring
A harm error reduction strategy that involves:
• Monitoring
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teamstepps.ahrq.gov/funding/process/study-section/peerrev.html
March 01, 2024 - Skip to main content
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/888.html
November 01, 2023 - Skip to main content
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/900.html
February 01, 2024 - Skip to main content
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teamstepps.ahrq.gov/patient-safety/settings/hospital/index.html
March 01, 2024 - Skip to main content
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teamstepps.ahrq.gov/research/findings/evidence-based-reports/search.html
April 01, 2024 - Skip to main content
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - million cases of ED-based diagnostic error per year, with nearly half having the
potential for patient harm … communication in diagnostic processes, as well as the
impact of suboptimal communication on patient harm … diagnostic safety through the lens of
distributed cognition would be a major advance in the quest to limit harm